MEDICARE: DIANE JUNGYUN SONG OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT11750T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891788725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE JUNGYUN SONG OD

Provider Business Mailing Address
First Line	:	26926 THE OLD RD
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91381-0662
Country	:	US
Telephone Number	:	661-310-3445
Fax Number	:	661-310-1999

Provider Business Practice Location Address
First Line	:	26926 THE OLD RD
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91381-0662
Country	:	US
Telephone Number	:	661-310-3445
Fax Number	:	661-310-1999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	08/06/2007

Similar Medicare Providers

1013172899 — ALLAN BALDAWI DDS
Practice Location Address:

26938 THE OLD RD
VALENCIA, CA
91381-0662

Practice Phone: 619-756-0401
Practice Fax:

1093157042 — ELIE PROFESSIONAL DENTAL CORPORATION
Practice Location Address:

26938 THE OLD RD
VALENCIA, CA
91381-0662

Practice Phone: 661-799-0886
Practice Fax: 661-799-2655

1114377041 — GUNNROOP SIDHU D.D.S
Practice Location Address:

26938 THE OLD RD
VALENCIA, CA
91381-0662

Practice Phone: 661-799-0886
Practice Fax:

1053298422 — DENISE CHRISTINE FAMBO-DEMARTEAU PHD, MS, RAAP,VAIDYA
Practice Location Address:

26877 SNOWMASS LOOP
VALENCIA, CA
91381-2408

Practice Phone: 310-593-3304
Practice Fax:

1194764779 — SAMUEL MOSES MD
Practice Location Address:

26859 PINE HOLLOW CT
VALENCIA, CA
91381-0615

Practice Phone: 661-253-2231
Practice Fax:

1679519441 — VONS COMPANIES INC
Practice Location Address:

25850 THE OLD RD
VALENCIA, CA
91381-1710

Practice Phone: 661-254-5824
Practice Fax: 661-254-2047

Directions to “ DIANE JUNGYUN SONG OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.